Apparent auditory deprivation in children: implications of monaural versus binaural amplification.

J Am Acad Audiol

Department of Communication Arts and Sciences, Queens College of CUNY, Flushing 11367.

Published: September 1993

AI Article Synopsis

  • The study examined how using one hearing aid (monaural) compared to two (binaural) affects speech recognition in children with moderate hearing loss after they’ve used hearing aids for over four years.
  • There was a notable decline in speech recognition scores for the ear not receiving aid in children using only one hearing aid, while no significant changes were found in their aided ear or in the performance of both ears for those using two hearing aids.
  • The results indicate that the auditory deprivation effect, previously noted in adults with monaural hearing aids, also affects children, highlighting the importance of binaural amplification for better auditory outcomes.

Article Abstract

This study investigated the effects of monaural versus binaural amplification upon the speech recognition scores (SRSs) of children with bilateral moderate sensorineural hearing loss after more than 4 years of hearing aid use. There was a significant decrease in SRSs for the unaided ears of the monaural hearing aid users, but there were no significant differences between initial and retest SRSs for their aided ears, or for both ears of those using binaural amplification. The SRS reduction was found to be large enough to be significant on an individual ear basis (by exceeding 95% confidence limits of the binomial model) in five of the ten unaided ears of the monaurally fitted children, but this did not occur for any of the initial-retest SRS differences in the aided ears of either group. These findings demonstrate that the auditory deprivation effect, which has been reported for adults using monaural hearing aids, is also found in children.

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